| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,196 |
1,138 |
$86K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
329 |
293 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
153 |
147 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
120 |
117 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
60 |
$958.46 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
55 |
$867.36 |